Call them small adults, as children’s joints & bones & problems they have with the musculoskeletal system are multidimensional. Paediatric Orthopaedic Surgeons in India are best trained to evaluate & treat a variety of medical problems troubling children who are still in growing mode.
With expertise in treating multiple conditions including traumatic injuries, little patients from all around the globe benefit through excellent diagnosis, proper treatments, surgeries & extensive post-operational care.
Common orthopaedic problems in children are complex & more often congenital, developmental or acquired. Many of these are infectious, nutritional, neoplastic, neuromuscular & psychogenic in origin. In case your child is suffering from problems with feet, legs, arms, hands or spine, Travcure paediatric orthopedist is the most appropriate doctor to consult.
Paediatric Orthopaedics is a medical science division which treats both genetic-related bone diseases and/or bone defects which arise during growth. Children might be born with congenital bone diseases or a child’s growing bones are found to be defective at times. This stream of treatments is also for bone fractures resulting from sports injuries & for which services of an expert paediatric orthopaedic surgeon will come useful.
Travcure is dedicated to offer you best cost-considerate treatments for Paediatric Surgery in India. We have earned national & international reputation in paediatric orthopaedic medicine & surgery treating thousands of children each year. Our facilities offer services of the best paediatric surgeons in India who are specially trained to treat a wide range of congenital, developmental & traumatic conditions affecting bones, joints & muscles of children from all around the world.
Our paediatric surgery & non-surgical treatments encompass medical conditions like limb-length discrepancies, scoliosis, hip dysplasia, clubfoot, & bone fractures.
India is a specialist destination for Paediatric Orthopaedic Surgery procedures. Paediatric Orthopaedic treatment costs in India are affordable & just a fraction of what you normally pay in the western developed countries. Offering high-tech medical solutions to a large variety of healthcare problems, it is no wonder that India is one of the most favoured global health care destinations today.
Best paediatric surgeons in India are adept in treating musculoskeletal problems of children which are largely different from those of adults. As bones of children are still growing, their response to infections, deformities & injuries are quite different than fully grown adults. Quite often what is thought as problem in children turns out to be just variation of growth which will easily resolve with time. Some problems occurring in bones & joints of children do not even occur among adults.
Therefore evaluation & treatment of child issues are quite different than those of adults – even with same problems. TRAVCURE paediatric orthopaedic surgeons diagnose, treat & manage paediatric musculoskeletal issues like limb or spine deformities at birth or later, gait abnormalities like limping, bone or joint infections or tumours & broken bones.
Pediatric Orthopedic Conditions
Paediatric Clubfoot is also known as Talipes Equinovarus. It is congenital deformity of foot which tends to be smaller than normal. In this condition the heel is generally found to be pointing downward while the forefoot is turning inward. This is because the Achilles tendon or heel cord is tight thereby causing heel to be drawn-up towards leg. It also makes it impossible to place foot flat on ground due to deformity.
Normally, this condition begins in first trimester of pregnancy & is often quite rigid at birth. Classic signs of clubfeet include fixed plantar flexion of ankle, adduction or turning-in of heel or hind-foot & turning-under of forefoot & mid-foot eventually giving a kidney shaped appearance to foot. Causes of this deformity are unknown.
They can only be classified as isolated congenital birth defects. Easily diagnosed through initial physical examination, quick early surgical correction is a wise decision. Specific surgical treatment for paediatric clubfoot will depend upon child’s age, overall health & medical history. Severity of condition, patient’s tolerance & parental preference also needs to be considered while choosing a treatment plan.
Goal of paediatric clubfoot treatment will focus on correcting & maintaining normal foot as far as possible while facilitating normal development & growth of child.
Congenital anomalies are various hand deformities that are present at birth. All types of hand deformities in infants are challenging for kids as they grow. Hand deformities are the type of congenital deformities which do not allow children learn to communicate with nature & surroundings by using their hands. The degree of hand deformity differs from child to child, from minor hand deformity to severe hand deformity.
Congenital limb defects happen whenever a part or complete lower or upper limb does not grow normally and/or even fails to grow when the child is still in the uterus. There are different reasons behind this kind of limb defects, for instance:
- Conditions, such as genetic abnormalities
- Mothers’ exposure to viruses or chemicals during pregnancy
- Some specific prescribed medicines or drugs
- Possibly smoking (more research needed to prove)
Paediatric Hip Dysplasia is frequently discovered in newborn babies on examination. Dysplasia & dislocation can however also develop later in some children. Greatly considered developmental, paediatric hip dysplasia does not cause any pain or prevent babies from learning how to walk at normal age. Exact causes for hip dysplasia are still unknown. Often referred as Developmental Dysplasia (DDH) it is found that some infants are prone to this condition.
Nevertheless, hip dysplasia is about 12 times more likely with a family history. Although genetics play a role, but do not bear any direct cause for paediatric hip dysplasia. Another factor relating to this condition is the baby’s position in womb which can increase pressure on hip-joints by stretching ligaments.
Babies in breech position are most likely to have hip instability than babies in normal-womb-position. Infant hip joint bones are much softer than adult hip joint bones. Infant hip socket is mostly pliable, soft cartilage while adult hip socket is hard bone. Therefore it is easier for infant hip joint to dislocate or misalign than adult hip.
Brittle-bone disease or in medical terms known as Osteogenesis Imperfecta (OI), is an inherited (genetic) abnormality, generally stated by a bone which can easily break without any specific reason. A researched survey shows around 50,000 individuals in US are experiencing this disease. Osteogenesis Imperfecta can affect anyone either male or female or within any age group.
Genu Varum or commonly known as Bow Legs is caused by numerous diseases during which the thigh & shin bones are bowed. The condition further becomes the cause of physical as well as psychological discomfort. Because of the uneven weight distribution on the inner & outer portion of knee-joints, it is proved that this condition will lead to early development of arthritis along with progressive deformation & knee pain.
Spectrum of congenital pediatric conditions affecting femur at birth include congenital short femur & proximal femoral focal deficiency or PFFD. In cases concerning shortening or absence of fibula (Fibular Hemimelia) & bowing of the tibia (Posteromedial Bow of Tibia) lower leg bones may be affected. Other causes affecting limb length disparities include infection of bone or joint which can develop anytime during childhood since birth. Treatment decisions for paediatric limb-length discrepancies are based on both the extent of disparity during diagnosis & predicted increase over time.
The paediatric orthopaedic surgeon may take into account factors like growth plate location, age of patient including amount of remaining growth, & extent of injury to growth plate in case of trauma or infection. In cases of congenital limb anomalies of leg, predicted increase can be calculated by comparing both the short & long unaffected leg.
Percentage of growth arrest often tends to remain constant during childhood years. Using growth charts in equation for calculation will help make precise predictions. Moreover, family ability & preferences for follow-up care will play a decisive role in treatment selection. Surgery is normally prescribed for patients whose discrepancy range between 2 to 5 centimeters. This procedure is known as Epiphysiodesismay.
Paediatric Scoliosis is a common medical condition affecting many children & adolescents across various nationalities around the world. It is simply defined as a sideways curvature of spine. Middle portion of spine with scoliosis curves to look like letter ‘C’ or ‘S’ instead of a straight line. There are several types of paediatric scoliosis seen among children. The most common is “Idiopathic Scoliosis” the cause of which is however unknown.
Planning treatment options for scoliosis will have to take in account the severity of deformity curve & its location within the spinal column. Child’s age is also an important factor as he/she is still growing & so will affect treatment choices. Team of doctors will determine how likely the condition might worsen in case it is not responding to bracing & subsequently suggest treatment options most suitable to patient’s specific needs.
Most paediatric scoliosis surgeons would agree that severe curve cases with 50 degrees & above will definitely need surgery to lessen curve & prevent it from worsening. Two most popular surgery options for paediatric scoliosis include Spinal Instrumentation & Fusion & the Magnetic Spinal Rod System.
Unique paediatric fracture patterns, management & healing patterns largely differ from adult bone. Paediatric bone is more porous, less dense & widely penetrated by capillary channels. It has lower bending strength, lower modulus of elasticity & lower mineral content. Any activity therefore induces more strain when compared to adult bone.
Therefore mechanisms of fracture gently change as we age. Paediatric bone fracture patterns are largely different in contrast to adults. Specialist physicians will keep this in mind for correct evaluation & proper treatment. Moreover, child bones heal faster because of periosteum which is a dense fibrous membrane. Stronger & thicker periosteum allows better supply of nutrients & oxygen which help remodel fractured bones. But then, this very advantage makes it quite difficult for surgeons to diagnose location of fracture.
DDH or Developmental Dysplasia of the Hip refers to a group of hip disorders resulting in acetabulum & abnormal development of femoral heads. Exact causes of DDH are however unknown but some contributing factors include abnormal forces on fetus inside womb or Breech delivery. Infants less than 6 months of age with DDH are placed in a special brace called ‘Pavlik Harness’. For infants between 6 months & 2 years of age ‘Closed Reduction’ procedure is used where the surgeon manipulates femoral head back into place after administering anaesthesia. For infants more than 2 years of age, the baby is taken to the operation theater for an ‘Open Reduction’ procedure.
Arches of vertebra normally grow & close around spinal cord as protection when fetus is developing. Part of this arch known as ‘Laminar Arch’ fails to develop or close around spinal cord in some cases. This condition is known as Spina Bifida. Treatments generally consist of stretching, casting & bracing procedures. However, surgery may be needed when these treatment techniques fail to work.
It is a genetic disorder of nervous system causing tumours to form on nerves throughout the body. Neurofibromatosis is a progressive disease generally associated with more serious skeletal manifestations. Treated by paediatric orthopaedic surgeons, this important medical condition indicates both medical & surgical care.
CP or Cerebral Palsy affects child’s ability to control muscles. Caused by abnormalities or damage in parts of brain involved in coordination & movement, physical therapy is often recommended after diagnosis to help children learn skills like walking, sitting & using wheelchairs. In case contractures are severe, surgery may be considered to lengthen affected muscles thereby improving child’s ability to walk & move.
MD or Muscular Dystrophy is a group of rare diseases causing muscle fibers to weaken & subsequently break-down. Affecting the voluntary or skeletal muscles controlling movement in legs, trunk & arms, non-surgical treatments for MD include keeping child’s body mobile, upright & flexible & helping children function independently as much as possible; while surgical options can help children with MD continue to walk.
Also known as Unstable Kneecap, Patellar Instability often indicated dislocation especially when kneecap comes fully out of its normal position or subluxation when kneecap partially moves in & out of its normal position. Immediate treatment option would include putting back the kneecap & administering pain medication for child to relax knee muscle.
Gentle pressure may be subsequently applied in the process. Non-surgical options generally include wearing clutches, braces & physical therapy. Surgical recourse often involves reconstruction of ligaments holding patella in place. Other complex surgical interventions are required for congenital & other bone deformities.
Also known as Erb’s Palsy, Brachial Plexus Birth Palsy’s main treatment plan invariably includes daily physical therapy. However, in cases where no improvement is noticed in the first 3-6 months, doctors may suggest surgery on nerves so as to improve potential outcome.